Independent Contractor Agreement
THIS AGREEMENT IS HEREBY MADE between Thomas Jefferson University,
acting through Department Head
and the INDEPENDENT CONTRACTOR named below for the provision of certain services, as
further described herein below on the following terms and conditions:
1 INDEPENDENT CONTRACTOR "IC".
Independent Contractor (hereafter "IC") is identified as follows:
Name:
Business Name (if different):
Type Entity:
Sole Proprietorship
Partnership
Corporation
Address:
City/State/Zip:
Business Telephone:
Social Security or Federal E.I.N:
Business Privilege License Number:
2 JOB TO BE PERFORMED.
TJU desires that IC perform, and IC agrees to perform, by no later than (date)
the following specific job: (describe in detail)
3 TERMS OF PAYMENT.
TJU shall pay IC $
as follows:
for the services described above with payment to be made
4 TERM OF AGREEMENT.
This agreement shall terminate upon completion by IC of job described in paragraph 2 hereof but
in no event later than one year from the date of execution of this agreement. It may be terminated upon
days notice by either party.
Thomas Jefferson University
Independent Contractor Agreement
1
5 REIMBURSEMENT OF EXPENSES.
TJU shall not be liable to IC for any expenses paid or incurred by
IC unless TJU gives prior written approval.
6 EQUIPMENT, TOOLS, MATERIALS
OR SUPPLIES.
IC shall supply, at IC's sole expense, all equipment, tools,
materials, and/or supplies to accomplish the job agreed to be
performed.
7 FEDERAL, STATE, AND LOCAL TAXES.
IC hereby acknowledges that he/she/it is responsible for payment
of all appropriate federal, state, and local taxes. IC is not and shall
not be treated as an employee with respect to the services
performed hereunder for federal, state or local tax purposes.
8 NOTICE TO IC REGARDING ITS TAX DUTIES AND LIABILITIES.
IC understands that IC is solely responsible for payment of IC's
income and other applicable taxes. If IC is not a corporation, IC
further understands that IC may be liable for self-employment
(social security) tax, to be paid by IC according to law. TJU
acknowledges it will send Form 1099 to IC and forward same to
federal, state, and local tax jurisdictions.
9 FRINGE BENEFITS.
Because IC is engaged in IC's own independently established
business, IC is not eligible for, and shall not participate in, any
employee person, health, or other fringe benefit plan of TJU.
10 TJU NOT RESPONSIBLE FOR WORKERS' COMPENSATION.
No workers' compensation insurance shall be obtained by TJU on
behalf of IC or the employees of IC. IC has supplied a certificate of
workers' compensation insurance attached hereto (if applicable)
and, if any work is performed by a subcontractor to IC. IC shall
supply subcontractor's workers' compensation certificate of
insurance.
14 DECLARATION BY INDEPENDENT CONTRACTOR.
The parties hereto are, and shall be, constructed as
having an independent contractor relationship in regard
to each other. IC is solely responsible for obtaining any
licenses and/or permits required by federal, state and
city laws and regulations, including but not limited to
Business Privilege License, professional licenses,
and/or building permits, as well as obtaining all
appropriate insurance policies. Upon request by TJU,
IC shall make available certificates of insurance for all
such policies.
15 HOW NOTICES SHALL BE GIVEN.
Any notice given in connection with this agreement
shall be given in writing and shall be delivered to the
other party, either by hand or by first class mail, at the
party's address as stated herein. Any party may change
its address, as stated herein, by giving notice of the
change in accordance with this paragraph.
16 CHOICE OF LAW.
Any dispute under this agreement or related to this
agreement shall be decided in accordance with the
laws of the Commonwealth of Pennsylvania.
17 ENTIRE AGREEMENT/AMENDMENTS.
This is the entire agreement of the parties. This
agreement may be supplemented, amended or revised
only in a writing executed by both parties.
18 SEVERABILITY.
If any part of this agreement shall be held
unenforceable, the rest of this agreement will
nevertheless remain in full force and effect.
19 INDEMNIFICATION.
11 SERVICE TO OTHERS.
TJU understands and agrees that IC may offer his/her services to
others.
12 NON-WAIVER.
The failure of either party to exercise any of its rights under this
agreement for a breach thereof shall not be deemed to be a waiver
of such rights or a waiver of any subsequent breach.
13 NO AUTHORITY TO BIND CLIENT.
IC hereby indemnifies, hold harmless and releases
TJU, its officers, agents and employees from and
against all actions, claims and damages, losses or
injuries arising from the acts or omissions or provision
of goods and/or services by IC or its subcontractors
arising from the terms of this agreement.
20 ACCESS TO RECORDS.
IC has no authority to entire into contracts or agreements on behalf
of TJU. This agreement does not create a partnership, joint
venture or any other legal relationship between the parties.
The parties hereto understand that if this agreement is
for the furnishing of services at a cost of $10,000 or
more over a 12-month period it shall be subject to
Section 952 of the Omnibus Budget Reconciliation Act
of 1980 and its corresponding regulations.
X
Client-Department Head
X
Independent Contractor
Thomas Jefferson University
Date
Independent Contractor Agreement
Date
2